CPT® Code 24800

Arthrodesis, commonly known as fusion, is a surgical procedure aimed at alleviating severe elbow pain, particularly when conservative treatments such as medication or physical therapy have failed. This procedure is often indicated for patients suffering from debilitating arthritis or those who have experienced significant trauma to the elbow joint. The surgery involves creating a stable union between the bones of the elbow joint, which can help restore function and reduce pain. During the procedure, a skin incision is made on the posterior side of the elbow, allowing access to the joint. The surgeon retracts the tendons and ligaments to expose the joint surfaces, where the articular cartilage is meticulously removed. This preparation is crucial for the successful fusion of the bones. The elbow is then positioned at a 90-degree angle, ensuring proper alignment of the radius, ulna, and humerus. Bone grafts, which may be harvested locally or from a separate incision, are used to fill the joint space and promote healing. The fixation of the bones can be achieved through various methods, including plate and screw fixation or external fixation devices, depending on the specific needs of the patient. The procedure concludes with the closure of the incisions, and if plate and screw fixation is utilized, the arm is immobilized in a cast or splint to support the healing process.